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December 8, 2025BloodOpen Access

Patients with Relapsed/Refractory multiple myeloma who achieved sustained minimal residual disease negativity in the dreamm-7 trial

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Authors

PRPaweł RobakPHPhoebe Joy HoRHRoman Hájek

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Overview

Phase 3 trial reveals greater MRD negativity and sustained responses in relapsed/refractory myeloma treated with dexamethasone and belantamab.

Key Points

  • To evaluate sustained minimal residual disease (MRD) negativity in patients treated with belantamab mafodotin and dexamethasone in the DREAMM-7 trial.
  • Phase 3 randomized trial comparing BVd and DVd in patients with relapsed/refractory multiple myeloma.
  • Primary endpoint: progression-free survival (PFS); secondary endpoints include MRD negativity and overall survival (OS).
  • MRD negativity assessed through next-generation sequencing.
  • CR-based MRD negativity rates were 70% for BVd vs 59% for DVd at the 10−5 sensitivity threshold.
  • Sustained MRD negativity for ≥12 months observed in 57% of BVd patients vs 42% of DVd patients.
  • Median time to first CR-based MRD negativity was shorter for BVd arm (11.14 months) compared to DVd (17.02 months).

Cite This Study

Robak et al. (2025) studied this question.

synapsesocial.com/papers/69362f694fa91c937236df3chttps://doi.org/10.1182/blood-2025-2265
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1DREAMM-7 update: Subgroup analyses from a phase 3 trial of belantamab mafodotin (belamaf) + bortezomib and dexamethasone (BVd) vs daratumumab, bortezomib, and dexamethasone (DVd) in relapsed/refractory multiple myeloma (RRMM).2024 · 2 citations
  2. 2Functional high-risk Relapsed/Refractory multiple myeloma (RRMM) outcomes with belantamab mafodotin (belamaf): Dreamm-7 and dreamm-8 subgroup analysis2025
  3. 3Patient-reported outcomes (PROs) from the DREAMM-7 randomized phase 3 study comparing belantamab mafodotin, bortezomib, and dexamethasone (BVd) vs daratumumab, bortezomib, and dexamethasone (DVd) in patients with relapsed/refractory multiple myeloma (RRMM).2024 · 4 citations
  4. 4Long-term outcomes with sustained minimal residual disease (MRD) negativity in belantamab mafodotin–treated patients (pts) with relapsed/refractory multiple myeloma (RRMM): An update from DREAMM-8.2026
  5. 5Belantamab mafodotin, bortezomib, and dexamethasone for RRMM in the Japan expansion cohort of the phase 3 DREAMM-7 trial2026